Rcm Process Associate

Job Description

Job Summary: We are seeking a highly organized and detail-oriented Accounts Receivable Specialist to join our Medical Billing and Coding team. The ideal candidate will be responsible for managing and overseeing the AR process, including the accurate and timely follow-up on unpaid claims, handling denials, and ensuring all revenue is properly collected. The role requires a deep understanding of medical billing processes, insurance verification, and a keen eye for detail to manage and resolve discrepancies effectively. Key Responsibilities: Review and process insurance claims to ensure proper submission for payment. Monitor and follow up on accounts receivable to ensure timely payment from insurance companies and patients. Work closely with insurance carriers and healthcare providers to resolve denied, rejected, or unpaid claims. Review Explanation of Benefits (EOBs) and apply payments to patient accounts. Prepare and submit appeals for denied claims and follow through to resolution. Maintain accurate and organized patient records, documentation, and correspondence. Collaborate with the coding and billing team to ensure accurate coding and claims submissions. Generate AR aging reports and assist in collections as needed. Stay informed of changes in healthcare regulations and reimbursement procedures.